Utilization Review Coordinator - Behavioral Health

ignoredontpost; Atlanta (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading psychiatric hospital in Atlanta is seeking a Utilization Review Coordinator to manage hospital service utilization and optimize reimbursement processes. The ideal candidate will have a bachelor's degree and experience in healthcare, ensuring effective communication with insurance providers and the treatment team. This role offers a comprehensive benefits package and the opportunity to work in a dynamic environment focused on patient care.

Benefits

Health, Dental and Vision Plans

401k Retirement Plan with company match

Pet Insurance

Tuition Reimbursement

Short Term and Long Term Disability

Life Insurance

23-days of Paid Time Off

Qualifications

• Bachelor's degree or equivalent experience required.
• Preferred experience in inpatient/outpatient hospital settings.
• One year of experience in healthcare, social services, or mental health.

Responsibilities

• Monitor utilization of hospital services and optimize reimbursement.
• Communicate insurance issues to the treatment team.
• Conduct concurrent and extended stay reviews with insurance companies.

Skills

Communication

Analytical Skills

Problem Solving

Education

Bachelor's Degree

Job description

Responsibilities

Utilization Review (UR) Coordinator

Behavioral Health/Psych

Peachford Hospital is a 246-bed, acute care psychiatric hospital located in Dunwoody. We provide inpatient care for children, adolescents, adults, and seniors, in addition to partial hospitalization and other outpatient programs. Peachford has been providing compassionate care since 1973 and nearly 10,000 patients receive seek treatment here every year.

We are currently searching for an experienced Behavioral Health UR Coordinator for our fast paced Utilization Review Department. This is NOT a nursing (RN) position.

UR Coordinators proactively monitor the utilization of hospital services and optimize reimbursement. Having an understanding and an ability to communicate insurance information to others, including benefits coverage and levels of care offered will help to make you successful in this role.

What Will You Get To Do?UR Coordinators are responsible for these and other duties:

• Communicate pertinent insurance issues to doctor and treatment team.
• Work with Admissions Services to stay abreast of admissions and/or pending authorizations.
• Conduct concurrent and extended stay reviews with insurance companies. Gather information for the reviews from the patient record and seeking information from the treatment team.
• Prepare and submit appeals to insurance companies, ensuring all pertinent data is received to support the hospital and patient’s position.

Wait! There’s More . . .Peachford Hospital offers full time employees a comprehensive benefits package including:

• Health, Dental and Vision Plans
• 401k Retirement Plan with company match
• Pet Insurance
• Tuition Reimbursement
• Short Term and Long Term Disability
• Life Insurance
• 23-days of Paid Time Off

Peachford Hospital: Bringing Life Into Balance.

For more information on our hospital, follow us on online:

• https://www.linkedin.com/company/peachford-behavioral-health
• www.peachford.com

What Happens Next?After you apply online and submit your resume, a member of our recruiting team will review your qualifications and experience. If we are interested in scheduling an interview, someone will give you a call. You may log back on to this website to check the status of your application at any time.

Qualifications

What Does Peachford Require for this Role?A bachelor’s degree and/or equivalent combination of education and experience is required and previous inpatient/outpatient hospital experience is preferred. One year of prior healthcare, social services, mental health or addictive disease experience is also preferred.

About our parent company: Universal Health Services (UHS):

As one of the nation’s largest and most respected providers of hospital and healthcare services, our parent company, Universal Health Services (UHS), has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and free-standing Emergency Rooms located in 38 states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449